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Respiration average CT for myocardial perfusion SPECT/CT attenuation correction
Greta S. P. Mok; Duo Zhang; Cobie Y. T. Ho
2016-03-10
Conference NameIEEE Nuclear Science Symposium / Medical Imaging Conference (NSS/MIC)
Source Publication2014 IEEE Nuclear Science Symposium and Medical Imaging Conference, NSS/MIC 2014
Conference DateNOV 08-15, 2014
Conference PlaceSeattle, WA
Publication PlaceUSA
PublisherIEEE
Abstract

Previously we proposed interpolated averaged CT (IACT) as a low dose alternate of cine average CT (CACT) for improved PET/CT attenuation correction (AC) in oncology and cardiology applications. This study aims to evaluate the effectiveness of both average CT protocols in myocardial perfusion SPECT/CT. We simulated a patient injected with Tc-99m-sestamibi using the digital 4D Extended Cardiac Torso (XCAT) phantom. We modeled the respiratory motion of 2, 3 and 4 cm with period of 5.9 s. The average attenuation and activity maps represented CACT and static SPECT, while the attenuation maps of end-inspiration and end-expiration represented 2 helical CTs (HCT-in and HCT-ex). The IACT was obtained by averaging the HCT-in, HCT-ex and the interpolated phases between them generated by B-spline method. Sixty noise-free and realistic noisy projections with attenuation modeling were generated from RAO to LPO positions using an analytical projector to model a low energy high resolution parallel-hole collimator. Data were reconstructed with different AC maps (CACT, HCTs and IACT) using OS-EM method with up to 200 updates. Polar plots were generated from the short-axis images and 17-segments were drawn on the plots. Relative difference (RD) of the average intensity was computed for each segment using the original phantom as the reference. Slight artifacts can be observed in the reconstructed images and polar plots using the HCTs AC. For motion amplitude = 2 cm, the maximum RD for CACT, IACT, HCT-in and HCT-ex were 0.7%, 2.3%, 6.1% and 8.0% respectively. The RD of the HCTs notably deviated from the phantom in the basal inferolateral and anterolateral regions especially for higher motion amplitudes. Our findings are consistent with our former results of cardiac PET/CT. We conclude that CACT and IACT have the potential to reduce respiratory artifacts and improve quantitation in myocardial perfusion SPECT/CT. The performance of IACT was comparable to CACT with reduced radiation dose.

DOI10.1109/NSSMIC.2014.7430967
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaNuclear Science & Technology ; Radiology, Nuclear Medicine & Medical Imaging
WOS SubjectNuclear Science & Technology ; Radiology, Nuclear Medicine & Medical Imaging
WOS IDWOS:000392917500223
Scopus ID2-s2.0-84965025745
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Document TypeConference paper
CollectionDEPARTMENT OF ELECTRICAL AND COMPUTER ENGINEERING
AffiliationDepartment of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau, China
First Author AffilicationFaculty of Science and Technology
Recommended Citation
GB/T 7714
Greta S. P. Mok,Duo Zhang,Cobie Y. T. Ho. Respiration average CT for myocardial perfusion SPECT/CT attenuation correction[C], USA:IEEE, 2016.
APA Greta S. P. Mok., Duo Zhang., & Cobie Y. T. Ho (2016). Respiration average CT for myocardial perfusion SPECT/CT attenuation correction. 2014 IEEE Nuclear Science Symposium and Medical Imaging Conference, NSS/MIC 2014.
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